Attachment__2_Contract_Data_Requirements_Lists.pdf
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- N66604-17-Q-1091
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Attachment #2 Contract Data Requirements Lists
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CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Facilities Systems Code 1021 1300526643
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 TECHNICAL REPORT – COST ESTIMATE/SERVICES TECHNICAL – COST ESTIMATE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI–MISC–80508B SOW tasks: 4.1 NUWCDIVNPT Code 1021 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ASREQ/R SEE BLOCK 16 b. COPIES
8. APP CODE D
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
A See Addendum N/A SEE BLOCK 16 Reg Repr o
16. REMARKS
CODE 1021 1 1 0
Block 10, 12, 13, The Contractor shall submit estimates w/i
5 days of the first request. Government will review w/n
5 days. The contractor shall submit final 5 days after
Government review and comments.
15. TOTAL 1 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 TECHNICAL REPORTS INVENTORY REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI–MISC–80508B SOW task: 4.3 NUWCDIVNPT CODE 1021 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ASREQ/R SEE BLK 16 b. COPIES
a. ADDRESSEE Draft Final
A See Addendum N/A SEE BLK 16 Reg Repr
16. REMARKS CODE 1021 1 0
Block 4 – Contractors format, Block 10, 12, 13, The Contractor shall submit inventory report in the
Contractor’s format until the Government initiates
The digital inventory management system.
15. TOTAL 1 0
G. PREPARED BY
GAIL MONTAGUE
H. DATE
7/6/17
I. APPROVED BY
J. DATE
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Facilities Systems Code 1021 1300526643
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Damages Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI_ADMN-81373 SOW tasks: 4.2.6 NUWCDIVNPT Code 1021 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ASREQ/R SEE BLOCK 16 b. COPIES
a. ADDRESSEE Draft Final
A See Addendum N/A SEE BLOCK 16 Reg Repr
CODE 1021 1 1 0
Block 10, 12, 13, The Contractor shall submit supporting documents (e.g., narrative, photos) as required by occurrence.
15. TOTAL 1 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
INTENTIONALLY LEFT BLANK
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED b. COPIES
8. APP CODE
a. ADDRESSEE Draft Final
Reg Repr
15. TOTAL
G. PREPARED BY
H. DATE
7/6/17
I. APPROVED BY
J. DATE
DD Form 1423-2, AUG 96 (EG)
PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
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